NPIMap

Individual provider Active NPI

Mark William McCurry, MD

  • Family Medicine Physician
  • Stigler, OK
National Provider Identifier
1417936337
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14774 Issued in OK
Practice address
1103 N Skyline Dr
Stigler, OK 74462-1864
Phone
(918) 697-9696
Fax
(918) 948-8282
NPI assigned
Jan 10, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18038 NH
Family Medicine Physician 207Q00000X 14774 OK Primary
Family Medicine Physician 207Q00000X 127611 AK

Addresses

Primary practice location

1103 N Skyline Dr
Stigler, OK 74462-1864

Mailing address

1138TH Ave
Talihina, OK 74571
Phone (918) 567-3867

Other identifiers 5

IdentifierTypeStateIssuer
010015985OtherTRAVELERS MEDICARE
100095490AMedicaidOK
1354061OtherUMWA
181416OtherBLACK LUNG
98065OtherHEALTH ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000619 OK Practitioner - Family Practice 1658392220 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haskell Regional Hospital IncGroup PAC ID 1153742739, shared by 10 NPIs, 7 clinicians

Practice addresses (Care Compare)

401 NW H St
Stigler, OK 74462-1625
Phone (918) 967-4682

714 Hwy 59 N
Heavener, OK 74937-2252
Phone (918) 653-2345

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14774OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jan 14, 2014 Accepting new patients
Alva Hospital Authority/Dba Share Medical Center CurrentSince Dec 1, 2016 Accepting new patients
Haskell Regional Hospital, Inc CurrentSince Dec 1, 2020 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Alva Hospital Authority CurrentSince Dec 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 14, 2014 Accepting new patients
Haskell Regional Hospital, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Haskell County Nursing Center Past Accepting new patients
Haskell Regional Hospital, Inc. Past Accepting new patients
Haskell Regional Hospital, Inc Past Accepting new patients
South East Alaska Regional Health Consortium Past Accepting new patients
Haskell Regional Hospital, Inc PastSince Feb 21, 2021 Accepting new patients
Haskell Regional Hospital, Inc Past Accepting new patients

Locations

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

905 S Main St
Shattuck, OK 73858
Phone (580) 938-2551

401 NW H St
Stigler, OK 74462
Phone (918) 967-4682

503 NW H St
Stigler, OK 74462
Phone (918) 967-0055

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1417936337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138TH AVE",
            "city": "TALIHINA",
            "state": "OK",
            "postal_code": "74571",
            "telephone_number": "918-567-3867",
            "fax_number": "918-948-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N SKYLINE DR",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621864",
            "telephone_number": "918-697-9696",
            "fax_number": "918-948-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURRY",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "18038",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14774",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "127611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "010015985",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095490A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1354061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "181416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "98065",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stigler, OK

Sources for this page

Verify at the official NPI Registry.